0001352027-14-000063.txt : 20141203
0001352027-14-000063.hdr.sgml : 20141203
20141203183202
ACCESSION NUMBER: 0001352027-14-000063
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141201
FILED AS OF DATE: 20141203
DATE AS OF CHANGE: 20141203
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Activision Blizzard, Inc.
CENTRAL INDEX KEY: 0000718877
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 954803544
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3100 OCEAN PARK BLVD
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
BUSINESS PHONE: 3102552000
MAIL ADDRESS:
STREET 1: 3100 OCEAN PARK BLVD
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
FORMER COMPANY:
FORMER CONFORMED NAME: ACTIVISION INC /NY
DATE OF NAME CHANGE: 19930114
FORMER COMPANY:
FORMER CONFORMED NAME: MEDIAGENIC
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: ACTIVISION INC
DATE OF NAME CHANGE: 19880829
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KELLY BRIAN G
CENTRAL INDEX KEY: 0001091425
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15839
FILM NUMBER: 141264709
MAIL ADDRESS:
STREET 1: 3100 OCEAN PARK BLVD
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2014-12-01
1
0000718877
Activision Blizzard, Inc.
ATVI
0001091425
KELLY BRIAN G
C/O ACTIVISION BLIZZARD, INC.
3100 OCEAN PARK BOULEVARD
SANTA MONICA
CA
90405
1
0
1
0
Common Stock, par value $0.000001 per share
2014-12-01
4
F
0
9872
21.05
D
663531
I
See footnote
Common Stock, par value $0.000001 per share
171968042
I
By ASAC II LP
Common Stock, par value $0.000001 per share
472865
I
By the Kelly Family 2006 Irrevocable Trust
Common Stock, par value $0.000001 per share
1616549
D
On December 1, 2014, 17,685 restricted share units held by a grantor retained annuity trust, of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee, vested. As allowed under the terms of Mr. Kelly's restricted share unit agreement, the Company withheld 9,872 of the shares otherwise deliverable to the trust in order to satisfy the resulting tax withholding obligation.
Following the transactions reported on this Form 4, Mr. Kelly indirectly owned, through a grantor retained annuity trust of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee, (a) 327,516 shares of the Company's common stock and (b) 336,015 restricted share units, each representing the right to receive a share of the Company's common stock.
These securities are held by a grantor retained annuity trust, of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee.
ASAC II LLC is the general partner of ASAC II LP. Robert A. Kotick and Mr. Kelly are the managers of ASAC II LLC. Mr. Kelly disclaims beneficial ownership of the Company's common stock held by ASAC II LP except to the extent of his pecuniary interest therein.
Mr. Kelly directly owns (a) 377,049 shares of the Company's common stock and (b) 1,239,500 performance shares, each representing the right to receive one share of the Company's common stock.
/s/ Brian G. Kelly
2014-12-03